Unraveling Cancer Pain Dynamics (Yale)

The goal of this initiative is to provide education to clinicians, involved in the assessment and management of cancer pain in adult patients, on the appropriate and safe use of opioid analgesics, optimizing non-opioid analgesics and adjuvant medications, and integrating non-pharmacological approaches into cancer pain management. 

Provided by the National Comprehensive Cancer Network in collaboration with The France Foundation.

Target Audience

This program is designed to meet the educational needs of health care professionals specializing in oncology, hematology, pain management, psychology, primary care (including family medicine and internal medicine), and emergency medicine. This includes physicians, physician assistants/physician associates, nurse practitioners, pharmacists, nurses, and other health care professionals engaged in the management of cancer pain in adult patients, whether or not they have prescribing authority for controlled substances.

Learning Objectives

Following this program, participants should be able to:

  • Recall the underlying principles of pain management in oncology, including cancer-specific pain definitions and mechanisms relevant to different types of cancer.
  • Describe the steps for assessing pain in patients with cancer, recognizing cancer-related pain patterns, and identifying risk factors for substance use disorders.
  • Evaluate the range of therapeutic modalities for managing pain, including non-pharmacological strategies and appropriate use of non-opioid and opioid analgesics.
  • Explain how to integrate opioid analgesics into individualized treatment plans for cancer pain, considering the unique characteristics and needs of patients with different types of cancer, while continuously assessing for functional improvement.
  • Summarize how to safely initiate, titrate, and discontinue opioid analgesics for acute and chronic cancer pain following evidence-based practices and patient-centered care principles.
  • Describe how to provide effective counseling to patients and caregivers regarding the safe use, storage, and disposal of opioid analgesics.
  • Recognize scenarios for referral to a pain specialist and collaborate effectively with interdisciplinary teams to optimize pain management, including the identification and management of opioid use disorders.
Additional information
Supporters: 

This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies.

Please see https://opioidanalgesicrems.com/Resources/Docs/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements that are issued by the US Food and Drug Administration (FDA).

Course summary
Available credit: 
  • 4.00 AAPA Category 1 CME credit
  • 4.00 ACPE contact hours
  • 4.00 AMA PRA Category 1 Credit™
  • 4.00 ANCC contact hours
  • 4.00 ASWB continuing education credit
  • 4.00 Participation
Course opens: 
09/18/2024
Course expires: 
03/16/2025
Cost:
$0.00

Session 1: Fundamentals of Cancer Pain Management
Wednesday, October 30, 2024 • 12:00 – 1:00 PM EDT
[adjust for other time zones]

Session 2: Therapeutic Approaches to Cancer Pain
Wednesday, November 20, 2024 • 12:00 – 1:00 PM EST
[adjust for other time zones]

Session 3: Individualized Opioid Management in Oncology
Tuesday, December 3, 2024 • 12:00 – 1:00 PM EST
[adjust for other time zones]

Session 4: Interdisciplinary Collaboration in Cancer Pain Management
Wednesday, December 18, 2024 • 12:00 – 1:00 PM EST
[adjust for other time zones]

 


    WEBINAR TIMES ARE POSTED AS EASTERN DAYLIGHT TIME (EDT) (UTC -4:00) OR EASTERN STANDARD TIME (EST) (UTC -5:00).
    Access to participate in selected sessions is through Zoom on the day of each scheduled program.

     

    Sorin Buga, MD
    Clinical Professor, Department of Supportive Care Medicine
    Program Director, COH Hospice and Palliative Medicine Fellowship
    City of Hope
    Duarte, CA

    David Copenhaver, MD, MPH
    Chief, Division of Pain Medicine
    Director, Cancer Pain Management & Supportive Care
    Director, Pain Tele-Health programs
    Clinical Professor, Division of Pain Medicine
    UC Davis Health
    Sacramento, CA

    David S. Craig, PharmD
    Pharmacist Lead, Acute Pain and Supportive Care Medicine
    Moffitt Cancer Center
    Tampa, FL

    Dwain Fehon, PsyD
    Professor of Psychology
    Chief Psychologist, Psychiatric Services, Yale New Haven Hospital;
    Director, Behavioral Medicine Service
    Yale School of Medicine 
    New Haven, CT

    Myra Glajchen, DSW, MSW, BSW, ACSW, APHSW-C 
    Director of Education and Training
    ESPEC Project Director
    Associate Program Director, Fellowship Training Program
    MJHS Institute for Innovation in Palliative Care
    New York, NY

    Elizabeth Prsic, MD
    Director, Adult Inpatient Palliative Care 
    Firm Chief, Medical Oncology
    Yale Cancer Center
    Assistant Professor, Yale School of Medicine
    New Haven, CT

    Carey Ramirez, ANP-C, ACHPN
    Manager, Advanced Practice 
    Supportive Care Medicine 
    City of Hope 
    Duarte, CA

    Erin Vipler, MD
    Assistant Professor, Medicine-Internal Medicine
    University of Colorado Hospital
    Aurora, CO

    Jeanie Youngwerth, MD, FAAHPM
    Associate Professor of Medicine
    UCH Medical Staff President
    Associate Program Director, Colorado Palliative Medicine Fellowship
    Director, Palliative Care Service
    Department of Medicine
    University of Colorado Anschutz Medical Campus
    Aurora, CO

     

    NCCN Continuing Education Disclosure Policy
    It is the policy of NCCN that all planners, faculty, moderators, authors, reviewers and anyone involved in the planning and delivery of NCCN continuing education activities are expected to disclose ALL financial relationships they have had in the past 24 months with ineligible companies. The ACCME Standards for Integrity and Independence require that individuals who refuse to provide this information will be disqualified from involvement in the planning and implementation of accredited continuing education presented by NCCN. NCCN identifies, mitigates and discloses to learners all relevant financial relationships.

    In addition, all content has been reviewed to ensure education promotes safe, effective patient care and does not promote the products or services of an ineligible company. Content, including any presentation of therapeutic options, is fair, balanced, evidence-based, scientifically accurate, and free of commercial bias and marketing. 

    Definitions  

    Ineligible Company: An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. 

    Relevant Financial Relationships: Financial relationships of any dollar amount occurring within the past 24 months are defined as relevant if the educational content an individual can control is related to the business lines or products of an ineligible company. There is no minimum financial threshold. We ask for disclosure of ALL financial relationships with ineligible companies, regardless of the amount and regardless of the potential relevance of each relationship to the education.

    Faculty Disclaimers  

    All faculty for this continuing education activity are competent in the subject matter and qualified by experience, training, and/or preparation for the tasks and methods of delivery.

    Faculty presentations may include discussion of off-label use. Faculty will disclose that the use in question is not currently approved by the FDA per the product labeling or marketing.

    Faculty Disclosures

    The faculty listed below have no financial relationships with ineligible companies to disclose.

    David Copenhaver, MD, MPH
    Dwain Fehon, PsyD
    Myra Glajchen, DSW, MSW, BSW, ACSW, APHSW-C
    Elizabeth Prsic, MD
    Carey Ramirez, ANP-C, ACHPN
    Erin Vipler, MD
    Jeanie Youngwerth, MD, FAAHPM

    The faculty listed below have the following relevant financial relationship(s) with ineligible companies to disclose. All of the relevant financial relationships listed for these individuals have been mitigated.

    Sorin Buga, MD
    Bausch Health US LLS: Non-CE Consulting

    David S. Craig, PharmD
    PCORI: Contract Research
    Seikagaku Corporation: Non-CE Consulting (relationship ended August 2024)
    Syneos Health, LLC: Non-CE Consulting (relationship ended February 2023)
    USM, LLC: Non-CE Consulting (relationship ended May 2023)

    NCCN and The France Foundation Staff Disclosures

    None of the planners for this educational activity have relevant financial relationships to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

    In support of improving patient care, National Comprehensive Cancer Network (NCCN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

    Physicians
    NCCN designates this live activity for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Nurses
    NCCN designates this educational activity for a maximum of 4.0 contact hours.

    Pharmacists
    NCCN designates this knowledge-based continuing education activity for 4.0 contact hours (0.4 CEUs) of continuing education credit. UAN: JA4008196-0000-25-100-L08-P

    PAs
    NCCN has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 4.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

    Social Workers
    As a Jointly Accredited Organization, NCCN is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. NCCN maintains responsibility for this course. Social workers completing this course receive 4.0 continuing education credits.

    Available Credit

    • 4.00 AAPA Category 1 CME credit
    • 4.00 ACPE contact hours
    • 4.00 AMA PRA Category 1 Credit™
    • 4.00 ANCC contact hours
    • 4.00 ASWB continuing education credit
    • 4.00 Participation
     
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    NCCN Non-Discrimination/Harassment Policy – Affiliated Persons and Volunteers
    NCCN is committed to providing workplaces and events that are free from discrimination or harassment of any kind for all participants, and has a zero-tolerance policy for any such conduct. NCCN requires individuals participating on NCCN Guidelines Panels, standing and ad hoc committees, meetings and seminars, or other NCCN-affiliated activities and events to adhere to this policy.

    To access this policy including reporting procedures, please visit NCCN.org/non-discrimination.

    Required Hardware/software

    To complete this activity, users will need:

    • A device with an Internet connection and sound playback capability
      • One of the two latest versions of Google Chrome, Mozilla Firefox, or Safari
      • Internet Explorer is no longer supported
    • Adobe Reader or other PDF reader software for certificate viewing/printing